New Volunteer Application
If yes, please list current employer
Have you ever worked as a volunteer before?
If yes, where
What were your responsibilities/service areas?
Which service area, what year and reason for leaving?
Are there any restrictions or limitations on your activity? If so, please explain.
Have you ever been convicted, plead guilty, plead no contender, or forfeited
bond to a violation of any federal, state, county or municipal law, regulation
or ordinance other than motor traffic violations?
Please summarize skills, abilities or talents you have to offer as a volunteer
(typing, computer skills, languages, etc.):
AGH Functional interest(s)
I understand that Atlantic General Hospital (AGH) reserves the right to
accept or reject my application at its sole discretion and that the above
statements made in this application are true. I understand that my service
will be in accordance with the general personnel policies and guidelines
of AGH and that AGH may, at their expense conduct a background check.
I further understand that I may quit at any time with or without cause
and should the Volunteer Coordinator feel that the interests of the AGH
are best served by relieving me of my assignment or transferring me to
another area, I agree to accept the decision as final. Believing that
AGH has a real need of my services as a volunteer who serves without pay,
I will uphold the Mission and Values of Atlantic General Hospital.